Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Scott Edmonson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669115242

Blake Scott Edmonson, MD is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

920 Madison Ave Ste 447
Memphis, TN 38163-1702
Phone: (615) 396-6454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1669115242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024

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